1979, 10-04 Permit: 79-5280 FurnacePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER
h 1 -79
DATE X9—:2
04* *12.00
*12.00
* 1 200
B *000 U
527.9
10-04-79
2 6,479.
VALUATION
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
ELECTRIC
JOB ADDRESS
SEWER
LEGAL DESCRIPTION -SEE ATTACHED
�.
`
v�r
LOT
BLOC
UBDIVISION
utilities
/v
PARCEL NUMBER/S
2.
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and oxdinances governing this
OWNER
type of work will be complied with whether specified herein or not. Th anting of permit does not presume
P NE
—
3
Plumbing
performa of construction. j
� �/ SIGNATU"�
5
DATE
ADDRESS
SPECIAL APPROVALS
ZIP
Required Set Backs in Feet
DEPT. REQ'D. RECD.
Plan Check
North South
East West
CO NKNAXITOR —^
P rtF— �
Size of Parcel
Zone Classification
4.
Mobile Home
ADD
Z 9
Type Const.
Occupancy
Sprinklered
Utilities
❑Yes [:]No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
SEPA Checklist
THISBECOMESA PERMIT.
f% [
U T
ADDRESS
OFFICI
DATE 10AnnnfM4
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE 11 NEW k 13ALT.
�
9"A D'N. ElRPL.
1:1MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
❑BLD. ❑ PLMB.
�,/
ISO MECH: ❑ M.H.
❑ OTHER
❑POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
FEES COLLECTED
8.
PERMIT NUMBER
h 1 -79
DATE X9—:2
04* *12.00
*12.00
* 1 200
B *000 U
527.9
10-04-79
2 6,479.
VALUATION
Source
//G
ELECTRIC
WATER
SEWER
of
9,
utilities
/v
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and oxdinances governing this
Building
type of work will be complied with whether specified herein or not. Th anting of permit does not presume
to give authority to violate or cancel the provisions of any other state `r I cal law r ulating c struction or the
Plumbing
performa of construction. j
� �/ SIGNATU"�
X.2.
DATE
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THISBECOMESA PERMIT.
f% [
U T
OFFICI
DATE 10AnnnfM4
rnoIccnAAirr
*12.00°r